02070197 OF
CI BBUILDI G DIaVISIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10050 S DE ANZA BLVD SAN JOSE AWNING COMPANY INT 02070197
OWNER'S NAME: APPLICATION SUB DATE
HELIOS RESTAURANT 755 CHESTNUT ST 07/30/2002
•1 `HONE:
(408) 297-8546 SANITARY NO. CONTROL NO.
ciar Q ARCHITECTMNGINEER: BUILDING PERMIT INFO
zw G BLDG ELECT PLUMB MECH
Z H Z LICENSED CONTRACTOR'S DECLARATION Job Description
O -O 1 hereby aRrm mm 1 am limnad urMcr 'sions of Chapsm 9lcomm<ncing ,
rinhw with Sect 700(0 fDiviginnJnrlheBasmeg �Profeloom,Core ,my'tomse 4 AWNINGS
a0 is in full fJrce and cflccr Q /�/ CIX �B�
rccraa License iDp O OJCI �L�®
s�S y Dmq s Commcmr.
\J/ RChail ba 'S DE race dl
1 and nsan my plans shall be used ss public records
wE a o Licensed professional DEC 1 2 2002
E0 o E OWNER-BUILDER DECLARATION
to
1 hereby M.that 1 am escmpt from the Contractor's License Law for the
5?< fallowing reason.(Section 7031.5.Business and Professions Code:Any city or county
rcF G wn ch y perm t t c t ct alt - ,g demolish or mpair arty strucswe UILDI $7000
E 3=.poo m s e,acs 9 sh aPPI' tf uch permnmfleasigned sutemcm . . ___ .. _ _
that be s licensed pun aorto the pativisionts oftheCnwctor s License Law(Chapter 9 y
room rv' gwmSic 7"11of°i� JfmBusiness and Proressmn,Codel 1' 1)r"j'36�O�t0����,�i::C�l:�f�if) ^• .
or mat he s caemP(Ncrtfrom end the basis for the alleged eaemptioe.Any violation Valuation'
--of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty
of not mom than five hundred dollars(3500d. 101ApN�6*,MATION 'i°'"'�"" Occupancy Type
❑1,as owner of me property,or my employees with wages ea their sole compensation
will do the'work:'end mesvucmre is hot'mended or offered for sale'(Sec:706a:' --- - - - -- -.------ --------- - -------_---- - --
rBusiness ead'Professio^s Cade:The Contractor-s Licenu law does not apply to an 103 - UFER Required Inspections:, \ -' H 1: IF
owner of property Who builds or improves thereon,and who does such work himself 104 - REBAR
or through his own employ«s.provided that such improvements am not intended ra
off rd f-sale w h - m wilding or improvementmoving
n gthat he within orepa,of 10 5 - ANCHOR BOLTS
---
completion,me ownerw milder will have the burden^f prov ng that he did not build or -
:
improvernrpurpese^rmle.). 106 - SEWER & WATER
r0 I fmcd(Sec.7BW.Bsin ly< m as.., l< dcnntr«mrsm 20'2'----UNDERFLOOR- PLUMBING License
s,prosect(Seo,OOas,Business analpro Pectcorny whions Code)The ver the or's
- Lie<n awdoes ctsmr.s.ch apply an.jIc,s rnrpropstractilldartempmaim,inm, 203 - UNDERFLOOR MECHANICAL
_.and wh^,convaas.forsuch projnts.with a contm<wr(s) licensed.puouant.m.the.
e..l -204 -- -UNDERFLOOR FRAME -- ------ ---- - -
Conuazmrs License law.;. `
O l am exempt under Sec." B&PCfeathuremon 205 - UNDERFLOOR'l INSULATION
O "0- ' ""Date 'e ""' " ' - 301 - ROUGH PLUMBING
-'WORKER SCOMPENSATION DECLARATION 3O2 - TUB & OR SHOWER
In by Irt,n a penagyor.peri U.-ry eofinefollowingd lanunsu� 303 - ROUGH MECHANICAL
1,
] I limad ll t a Cmific 1 r C .ani In: If for Worker',
304 - ROUGH ELECTRICAL
Compensation work dad for by Section-J]WO of ser Laver Cade, for me
c r• ., es
F._-- perratmaaze of me'wnrk
for wmmh tn�g,aemit,i.tuned..., . 305 - FRAME
71 ❑I Imi 'll m5 t Wohers Compensation, l iurance req 'ietl by SeNon 306 - HOLDOWNS
J]WO of he Laver Catl for the peiform f did,-work f which sh s pe 'h'is
issued MyW Worker'sCompensation Ingoa.cl - 'dPoI be 307 INSULATION
NJ;PelY��'tp�� ;z SHEETROCK ,
Jr cr c RrEKEMPTfONFROMwORKERs, + .. a309 ?= EXTERIOR°'LATH'•
•, '�" COMPENSATION INSURANCE 1
,,
�.--
-3,10 —,
=—bNTERIOR
T'' 1 (Th s tlon'rieed Has be comPk¢d f the perm is for one hundred dollars 1 l
(SIM)or 11 .: . . 311 - SCRATCH COAT .
''ROOF'=NAI L
-
s ,.. ..)... ..
gnu s mply-nyder t any red 's tobe<ome bjetn'mewiters 501 - FINAL Eli$CTRICAL"'ENERGY '
Comps tionLe TCIto Date
Applam - -.-- ....502._- ..FINAL--PLUMBING--ENERGY . ..._..... ._ ._._.
NOTICE TO APPLICANT if,after
-make thisCerYfc t of Ex 'vunnruo
you
LOp forthwith m <nP m a t hnnxd ma ked ''ENERGYtics ul s 1.'mWo kC
.rr
504.._-- .FINAL--BUILDING_.ENERGY
-? r CONSTRUCTIONL "",AGENCY SOS - FINAL ELECTRICAL .,,,, 'l'"•' " ` ''-'
h by rRm that dre -o auction lending reg Hcy for N'pe fmr as.
Wa.. of kf ohm perms 'medS 309) civ.'c) ^,' 506 _ - _GAS TEST
gy.p -Londe N u -tie
?.z d AEdrt 507 FINAL PLUMBING ,
V'Q 1 enHythat Ihave read this m1lum add gtatethat theana fontadcatis 508 - FINAL MECHANICAL''
ka=E.r cbrrta 1 agree m complyµds all city and county ordinances and state laws relating 509 - FINAL GRADE
�.V
to building commuction:and nemby authorize representative.'of this city m enter upon
'meboe i,mad mmerly far im,ttimprpo 510 - FINAL PLANNING
F.e 61 (W I groes rade fy indkeeph J .`the Cityof Cupensnoegdinst
-fn liabilities,judgments, tag expenses which may-n any way aceme a ainad said 514 - FINAL UB C WORKS
V Z City in consiquence or the joining of this t -
APPLICA '.'UERSTUs ANO WILL COMPLY WITH ALL N ]?" I
souace - _A
SN .' : Issued by: Date
3v v2.
ignad bf Ap icamcommetor.. , -.' D Re-roofs /.
.HAZARDOUS MA RIALS DISCLOSURE '
W II m 'ry t f t w III « pant rare or,Handl haeardo tmmenal ._Type Of Roof.__.
as defied by m Cupem o M r tpal.0 calls,9.12. d th He Ira and Safety
-- •:"-. ^'. -^-' "ti
cod Seto 2 J?la) ,' ;: . .•�. "li •,
°Y I 11 roofs shall be inspected prior-to any roofing,materlal being Installed _
--
;Will theapplicant o frobuilding p nt equipment 9 a which a roof is installed without first obtaining an inspection I'agree to remove
emu h b a co mmin 1 defined by th BaYA eaA Q al sy M1f 'reg seen.
°1"01 No all new materials for inspection Applicant understands and will comply with
c,I rn o Hemtn'&S Tet c rang2ssos issJi a�r I all non-point source regulations
C. 1 na a' m bumdo ¢nils u tl Chaps entr of de
and 2553A understand shin
(mebuildingdrresnotcwrts which bei out
myresponsibtliry m nSe. the'
«capons of erc9uirc cots whah mon bei mor prioi m iszuantt of,a Cenifca a of
m
`- Signature of Applicant - Date
Ow or mo ee,p'bar t t , ' ,, % '1e. All roof coverings to be Class "B" or'better '
� .,